Job Description:

Reviews the medical record documentation to assure specificity of diagnoses, procedures, and appropriate/optimal reimbursement for hospital and/or professional charges and accurately codes and sequences the primary and secondary diagnoses and procedures using ICD-9 and CPT coding conventions. Typically requires a college degree in medical health records and CCS certification by the American Health Information Management Association or a Registered Health Information Technician (RHIT). Coordinates and reviews the work of designated employees to ensure quality and quantity of work performed through regular audits. Assists with research and development and presentation of continuing education programs on areas of specialization. Abstracts and compiles data from medical records for optimal reimbursement for hospital and/or professional charges. Consults with and educates physicians on coding practices and conventions. Maintains reporting documentation for certain procedures in compliance with regulation. Performs medical record audits. Compiles medical care and census data for statistical reports on types of diseases treated, surgery performed, and use of hospital beds, in response to inquiries from law firms, insurance companies, and government agencies. Conducts special studies and research. Less

Reviews the medical record documentation to assure specificity of diagnoses, procedures, and appropriate/optimal reimbursement for hospital and/or professional charges and accurately codes and sequences the primary and secondary diagnoses and procedures using ICD-9 and CPT coding conventions. Typically requires a... More